Kobos Ewa, Serafin Olga, Kostrzewa-Zabłocka Ewa, Stefanowicz-Bielska Anna
Department of Development of Nursing, Social and Medical Sciences, Faculty of Health Sciences, Medical University of Warsaw, 61 Żwirki and Wigury Street, 02-091 Warsaw, Poland.
Faculty of Health Sciences, Medical University of Warsaw, 61 Żwirki and Wigury Street, 02-091 Warsaw, Poland.
J Clin Med. 2025 May 13;14(10):3412. doi: 10.3390/jcm14103412.
: Diabetic foot syndrome (DFS) constitutes a serious clinical challenge in the treatment of diabetes. The aim of this study was to assess social support and acceptance of the disease in patients with diabetic foot syndrome and their relationship with the metabolic control of diabetes. : This was an observational, single-center study, conducted in 80 people hospitalized in the general and vascular surgery department. This study included adult patients with type 1 or type 2 diabetes, diagnosed with DFS. The mean age of the patients was 65.63 years, with the median age of 62 years. The youngest patient was 27, and the oldest was 94 years old. Men constituted 71.25% of the study group, women 28.75%. The following data were collected: the results of laboratory tests and measurements, the Acceptance of Illness Scale (AIS), and the Social Support Scale (S4-MAD) scores. : Abnormal values of non-high-density lipoprotein cholesterol (mean (M) = 120.76 mg/dL) and low-density lipoprotein cholesterol (M = 144.56) were shown in all the patients. Abnormal low-density lipoprotein values occurred in 98.75% of the patients (M = 148.21 mg/dL), and 83.75% of the participants had abnormal values of the systolic pressure (M = 145 mmHg) and total cholesterol. Glycated hemoglobin was abnormal in 61.25% of the subjects (M = 8.95%). The average score on the Acceptance of Illness Scale was 18.4 points in the study group. Out of the 100 possible points in the subscales of social support, the patients obtained an average of 46.5 points in the nutrition dimension, 40 for physical activity, 47.1 for glycemic self-control, 27.4 for foot care, and 68.9 for smoking. : Patients with diabetic foot syndrome are characterized by poor acceptance of the disease and receive moderate social support. Patients receive the highest support in terms of cigarette smoking and glycemic self-control, with the lowest in foot care. The patient's acceptance of the disease and the social support received are unrelated to the patient's goals of disease control. Higher social support received by the DFS patients is associated with a greater acceptance of the disease.
糖尿病足综合征（DFS）是糖尿病治疗中的一项严峻临床挑战。本研究旨在评估糖尿病足综合征患者对疾病的社会支持与接受程度，以及它们与糖尿病代谢控制之间的关系。
这是一项单中心观察性研究，对普通外科和血管外科住院的80人进行了研究。该研究纳入了诊断为DFS的1型或2型糖尿病成年患者。患者的平均年龄为65.63岁，中位年龄为62岁。最年轻的患者27岁，最年长的94岁。男性占研究组的71.25%，女性占28.75%。收集了以下数据：实验室检查和测量结果、疾病接受量表（AIS）得分以及社会支持量表（S4-MAD）得分。
所有患者均显示非高密度脂蛋白胆固醇（均值（M）=120.76mg/dL）和低密度脂蛋白胆固醇（M = 144.56）值异常。98.75%的患者低密度脂蛋白值异常（M = 148.21mg/dL），83.75%的参与者收缩压（M = 145mmHg）和总胆固醇值异常。61.25%的受试者糖化血红蛋白异常（M = 8.95%）。研究组疾病接受量表的平均得分为18.4分。在社会支持子量表的100分中，患者在营养维度平均得46.5分，体育活动方面得40分，血糖自我控制方面得47.1分，足部护理方面得27.4分，吸烟方面得68.9分。
糖尿病足综合征患者的特点是对疾病接受程度低，获得的社会支持中等。患者在吸烟和血糖自我控制方面获得的支持最高，在足部护理方面最低。患者对疾病的接受程度和获得的社会支持与患者的疾病控制目标无关。DFS患者获得的社会支持越高，对疾病的接受程度越高。
